Individual
JACI UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3252 CASTLEROCK RD, OKLAHOMA CITY, OK 73120-1860
(918) 616-3515
Mailing address
3252 CASTLEROCK RD, OKLAHOMA CITY, OK 73120-1860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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